2015-02-16T07:36:16-06:00 2014-06-30 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2013-07-01 010729134 CLARE OAKS CLAR 6303721983 825 CARILLON DRIVE BARTLETT IL 60103 PAUL CLEMENS TREASURER 6303721983 2015-01-30 1 GREGORY S ADAMS P00095597 6305738600 2013 2016-02-25 16:41:14Z X PAUL CLEMENS 825 CARILLON DRIVE BARTLETT IL 60103 19223332 0 X WWW.CLAREOAKS.COM X 2006 IL CLARE OAKS IS AN ENDURING COMMUNITY THAT SUPPORTS A FULLER AND FREER LIFE. 7 7 398 25 0 0 0 0 18439420 18785020 503 870 708133 437442 19148056 19223332 0 0 0 0 8425527 9170068 0 0 0 12787430 14703193 21212957 23873261 -2064901 -4649929 42852763 42250053 126289823 130337042 -83437060 -88086989 CLARE OAKS, A CONTINUING CARE RETIREMENT COMMUNITY, EXISTS TO NOURISH, CELEBRATE AND ENHANCE THE MIND, BODY AND SPIRIT. 0 0 19279201 19222462 CLARE OAKS IS A CONTINUING RETIREMENT COMMUNITY (CCRC) PROVIDING LIVING ARRANGEMENTS AND SERVICES TO PERSONS 62 YEARS OF AGE AND OLDER. CAMPUS WIDE SERVICES INCLUDE DINING, ACTIVITIES, MAINTENANCE, HOUSEKEEPING, WELLNESS PROGRAMS, SUPPORTIVE SERVICES AND 24 HOUR SECURITY. THE INDEPENDENT LIVING AREA (164 RESIDENCES) OFFERS A VARIETY OF PRIVATE LIVING ARRANGEMENTS, A FITNESS CENTER, LIBRARY, MINI MART, COMPUTER ROOM AND TRANSPORTATION. THE ASSISI HEALTH CARE CENTER OFFERS LONG TERM SKILLED CARE AND SHORT TERM REHABILITATION SERVICES. LICENSED STAFF IN THE ASSISTED LIVING (17 SUITES), MEMORY SUPPORT (16 SUITES) AND SKILLED NURSING NEIGHBORHOODS (120 ROOMS) PROVIDE COURTEOUS SERVICE, HOSPITALITY, DIGNITY AND RESPECT TO ALL IN OUR CARE. 19279201 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 51 51 1 398 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X GIGI WALKER 6303721983 825 CARILLON DRIVE BARTLETT IL 60103 SISTER COLETTE WILCZYNSKI DIRECTOR EMERITUS (NON-VOT 1.00 X 0 0 0 MICHAEL D HOVDE JR PRESIDENT OF THE BOARD 1.00 X X 0 0 0 TOM BROD MEMBER OF THE BOARD 1.00 X 0 0 0 SISTER JEANNE CONZEMIUS BOARD LIAISON (NON-VOTING) 1.00 X 0 0 0 MAUREEN TAUS MEMBER OF THE BOARD 1.00 X 0 0 0 SISTER MARCELLA NOWAKOWSKI MEMBER OF THE BOARD 1.00 X 0 0 0 PAUL CLEMENS TREASURER OF THE BOARD 1.00 X X 0 0 0 RICHARD SCHUTT MEMBER OF THE BOARD 1.00 X 0 0 0 THERESE M MALM VP/SECRETARY OF THE BOARD 1.00 X X 0 0 0 JEANNENE WALKER DIRECTOR OF FINANCE 40.00 X 139087 0 0 BETH WELCH EXECUTIVE DIRECTOR 40.00 X 0 0 0 139087 0 0 1 0 0 0 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY PROVIDER 1650352 PHARMERICA INC PO BOX 409251 ATLANTA GA 30384 PHARMACY PROVIDER 743500 LIFE CARE SERVICES LLC 400 LOCUST SUITE 820 DES MOINES IA 50309 MANAGMENT COMPANY 661937 ZILLNER MARKETING COMMUNICATIONS 8725 ROSEHILL ROAD 200 LENEXA KS 66215 ADVERTISING 476969 SYSCO FOOD SERVICES PO BOX 5037 DES PLAINES IL 60017 FOOD PROVIDER 417714 23 RESIDENT SERVICES 623000 18785020 18785020 18785020 870 870 ENTRANCE FEE AMORTIZATION 623000 437442 437442 437442 19223332 19222462 0 870 8226874 6893793 1333081 286491 286491 656703 545289 111414 540005 540005 110835 110835 878103 675741 202362 240926 240926 304116 131000 173116 93576 93576 954072 954072 11305 4169 7136 24129 11157 12972 3133799 3133799 1892473 1892473 1184960 272683 912277 THERAPY 1664914 1664914 OTHER 895109 328466 566643 FOOD 764027 764027 EQUIPMENT AND REPAIRS 724998 722359 2639 1285846 1285259 587 23873261 19279201 4594060 0 2018777 2632132 81910 143717 2264169 2066187 136103 119940 24783 36689 1576362 1632900 33877832 12653684 21899559 21224148 8519037 8551085 6332063 5843255 42852763 42250053 2117622 1999494 31734593 89348469 89619190 3089139 38718358 126289823 130337042 X -83437060 -88086989 -83437060 -88086989 42852763 42250053 -4649929 0 X X 0 1 X 1 0 X 4038347 460 4038807 14869035 19190735 18134777 18439420 18785020 89418987 18907382 19191195 18134777 18439420 18785020 93457794 0 0 0 93457794 308061 175005 51544 503 870 535983 308061 175005 51544 503 870 535983 458028 506178 1037126 708133 437442 3146907 19673471 19872378 19223447 19148056 19223332 97140684 0.96210 0.95810 0.00550 0.01000 X 223442 223442 33440180 12653684 20786496 214210 214210 21224148 DEFERRED FINANCING COSTS 2716683 DEFERRED MARKETING/SELLING COSTS 3126572 5843255 CURRENT DEFERRED ENTRANCE FEES 2600000 RESERVATION DEPOSITS 571639 REFUNDABLE ENTRANCE FEES 35546719 38718358 X 19223332 0 19223332 0 19223332 23873261 0 23873261 0 23873261 PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE IRC. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE IRC AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFIES AS CHARITABLE TAX DEDUCTIONS FOR THE CONTRIBUTOR. THE ENTITY FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE (IRS). THE ORGANIZATION'S INCOME TAX RETURNS FOR THE YEARS 2010 THROUGH 2013 ARE SUBJECT TO REVIEW AND EXAMINATION BY THE IRS. A ILLINOIS FINANCE AUTHORITY 861091967 45203HNR9 2012-12-31 5001282 REFINANCE OF SERIES 2006 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203HNK4 2012-12-31 8000000 REFINANCE OF SERIES 2006 BONDS 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HNL2 2012-12-31 4000000 REFINANCE OF SERIES 2006 BONDS 0 0 0 D ILLINOIS FINANCE AUTHORITY 861091967 45203HNM0 2012-12-31 2000000 REFINANCE OF SERIES 2006 BONDS 0 0 0 A 5001282 5001282 1 0 1 1 B 295000 8000000 2147786 100422 5751792 1 0 1 1 C 145000 4000000 1470098 1579901 950000 1 0 1 1 D 2000000 2000000 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 A ILLINOIS FINANCE AUTHORITY 861091967 45203HNN8 2012-12-31 39991094 REFINANCE OF SERIES 2006 BONDS 0 0 0 B ILLINOIS FINANCE AUTHORITY 861091967 45203HNP3 2012-12-31 25006410 REFINANCE OF SERIES 2006 BONDS 0 0 0 C ILLINOIS FINANCE AUTHORITY 861091967 45203HNQ1 2012-12-31 5001282 REFINANCE OF SERIES 2006 BONDS 0 0 0 A 39991094 39991094 1 0 1 1 B 25006410 25006410 1 0 1 1 C 5001282 5001282 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 3 CLARE OAKS HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO LIFE CARE SERVICES (LCS), A MANAGEMENT COMPANY. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WILL BE DISTRIBUTED TO THE VOLUNTEER BOARD OF DIRECTORS BY THE EXECUTIVE DIRECTOR FOR REVIEW AND COMMENTS. ANY QUESTIONS WILL BE DIRECTED TO THE FINANCE DIRECTOR AND WILL BE ADDRESSED WITH THE PREPARER. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE DISCLOSURE INCLUDES A STATEMENT THAT THE INDIVIDUAL WILL IMMEDIATELY REPORT ANY KNOWN PERSONAL OR BUSINESS RELATIONSHIP THAT EXISTS WITH AN ORGANIZATION/INDIVIDUAL DOING BUSINESS WITH CLARE OAKS, TO THE EXECUTIVE DIRECTOR AND THE PRESIDENT OF THE VOLUNTEER BOARD OF DIRECTORS. ALL CONTRACTS AND AGREEMENTS ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE TO ASCERTAIN IF ANY RELATIONSHIP EXISTS BETWEEN THE CONTRACTOR AND ANY OFFICERS, DIRECTORS, OR KEY EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 LIFE CARE SERVICES (MANAGEMENT COMPANY UTILIZED BY CLARE OAKS) HAS A PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES THAT INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. DURING THE CURRENT YEAR LIFE CARE SERVICES HAS USED THIS PROCESS TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND HEALTHCARE ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 18 CLARE OAKS MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION ON ANOTHER'S WEBSITE (I.E. GUIDESTAR) WITH FORM 1023 BEING MADE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 CLARE OAKS MAKES ITS GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S VOLUNTEER BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.